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                                    Chapter 5110more psychotropics than people without ID or with MID alone. This puts a high demand on primary care practices. 12A recent review confirms GPs’ vital role in providing care to people with MID and MH problems but also indicates that current GP care is often insufficient in terms of underdiagnosis of MH disorders, overmedication, and lack of effective patient follow-up. 5 None of the included publications focused on patients’ perspectives concerning primary MH care for people with MID. 5Some studies focused on patients’ perspectives on general primary care for people with (M)ID and on primary MH care in general. In these studies, patients with MID indicate that the use of simple language, sufficient time, and the GP’s familiarity with patients with MID facilitate accessibility and consultations in primary care. 17, 18 Patients with MH problems, but without MID, emphasise the importance of feeling heard, known, and safe at their GP. 19 In light of the above, we expect that the combination of MID and MH problems will entail greater or additional needs regarding the GP.To our knowledge, there are as yet no studies exploring the perspectives of patients with MID regarding primary MH care. In order to improve primary MH care in line with the needs of such patients, it is important to stay close to the real-life experiences of patients to whom this care is provided. Therefore, the aim of this study is to explore patients with MID’s experiences, needs, and suggestions for improvement regarding primary MH care.MethodSetting and sampleFor this interview study, we recruited adult patients with MID and MH problems enrolled in GP practices in various Dutch regions between May and October 2022. Our recruitment strategy entailed convenience sampling by sending informational study brochures and flyers to our professional networks within the following organisations: the Radboudumc Academic GP network, national GP and MHNP organisations, and advocacy organisations for people with MID. Candidates could apply directly or through their GP or MHNP. Selection criteria for inclusion were: having visited a general practice Katrien Pouls sHL.indd 110 24-06-2024 16:26
                                
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